Individual provider Active NPI

Gabriel Nervo

  • Mental Health Counselor
  • San Francisco, CA
National Provider Identifier
1083293419
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8745 Issued in CA
Practice address
1213 Noe St
San Francisco, CA 94114-3713
Phone
(415) 846-5607
NPI assigned
Apr 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8745 CA Primary

Addresses

Primary practice location

1213 Noe St
San Francisco, CA 94114-3713

Mailing address

1213 Noe St
San Francisco, CA 94114-3713
Phone (415) 846-5607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212000138 CA Practitioner - Mental Health Counselor 1951765197 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

San Francisco, CA 94114
Phone (415) 846-5607

1213 Noe St
San Francisco, CA 94114-3713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1083293419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 NOE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941143713",
            "telephone_number": "415-846-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 NOE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941143713",
            "telephone_number": "415-846-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERVO",
        "first_name": "GABRIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-04",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "8745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.